Nueva Vida Behavioral Health Center

LBN: Nueva Vida Mental Health Center
Nueva Vida Behavioral Health Center is an health care organization with primary practice located at 618 W Lehigh Ave , Philadelphia PA 19133-2227. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Nueva Vida Mental Health Center can be contacted via phone (215) 229-8857, or through Sholevar, Godrhat P via phone (215) 229-0956.

Contact Information

Primary practice address
618 W Lehigh Ave Philadelphia PA 19133-2227
Phone: (215) 229-8857
Fax: (215) 229-0654
Website:
Map and Directions
Authorized official contact:
Name: Sholevar, Godrhat P Doctor of Medicine (MD)
Phone: (215) 229-0956

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417002320
LBN Legal business name Nueva Vida Mental Health Center
DBA Doing business as Nueva Vida Behavioral Health Center
Authorized official Sholevar, Godrhat P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Sep 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417002320 NPPES
Pennsylvania Other 0016954870003 PROMISE NUMBER

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